KIMBERLY M GRAY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038362

License Status

EXPIRED

Business

First Name

KIMBERLY

Middle

Last Name

GRAY

Business Name

KIMBERLY M GRAY

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

01/05/2002

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006